# PHOENIX DENTAL CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386275279
- **Authorized official:** JAYNE KELLER DMD (EMPLOYEE/OWNER)
- **Authorized official phone:** (717) 267-2059

## Contact information

- **Practice address:** 475 PHOENIX DR, CHAMBERSBURG, PA 17201-4534
- **Practice address phone:** (717) 267-2059
- **Mailing address:** 475 PHOENIX DR, CHAMBERSBURG, PA 17201-4534
- **Mailing address phone:** (717) 267-2059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 01/29/2020